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Northern Virginia Cloverleaf 1200k Registration
This is the form to register for Northern Virginia Cloverleaf 1200k on Sep 16-19, 2021. Each rider must fill one registration form.
* Indicates required question
Email
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Your email
First name
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Your answer
Last Name
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Your answer
Full mailing address
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Your answer
Cell phone number (While you are riding)
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Your answer
Emergency Contact Name & number (Someone who is not riding during the event)
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Your answer
Is your RUSA membership current for 2021 (RUSA Membership is required to ride due to waiver requirement)
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Yes
No
Although, NVC1200 has no qualifications but What is the longest event you have ridden this year or planning to ride up to the event on September?
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Your answer
How many 1200k/LRM have you ever ridden? Find your results here
http://www.randonneursmondiaux.org/53-Results_Link.html
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Your answer
Are you navigating only & only with a cue-sheet?
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Yes, I only use a cue-sheet and I don't carry any electronic devices for route navigation.
No, I do carry electronic devices such as GPS, Phone with mobile Apps and so on.
If you are riding a tandem, who are you riding with?
Your answer
where do you plan to stay during the event? (Hotel, RV, local friend, e.g)
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Your answer
Any special diet, health issues or anything that we should know and you would like to share with us.
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Your answer
What's next? After submitting this from use the link below for payment.
https://www.paypal.com/paypalme/NorthernVA/295
(We expect to receive $295 after any charges)
Send me a copy of my responses.
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